LIBRADA TERESA VAZQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

LIBRADA TERESA

Last Name

VAZQUEZ

Suffix

Business Name

LIBRADA TERESA VAZQUEZ MD

Original Issue Date

09/29/1987

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020